Zizindikiro za matenda ashuga mwa akazi pambuyo pa zaka 40

Matenda a shuga ndi matenda omwe amakhudza anthu azaka zilizonse komanso zaka. Ndipo azimayiwa nawonso amapulumuka. Amatetezedwa kwambiri ndi matenda ashuga a 2 omwe samatengera insulin. Kutha kuzindikira zizindikiro za matenda oyamba kumathandizira kuyambitsa chithandizo chanthawi komanso kupewa mavuto akulu. Ndiye chifukwa chake ndikofunikira kuti azimayi azitha kudziwa zomwe zili ndi matupi awo, komanso zomwe zingawonetsetse kuti pali matenda ashuga a mellitus (DM).

Kodi matenda ashuga ndi chiani?

Matenda a shuga ndi matenda a endocrine omwe amaphatikizidwa ndi kusakwanira kwa minofu kumverera kwa insulini, kapena kusowa kwenikweni kwa insulin. Monga mukudziwa, insulin ndi timadzi tomwe timatsegula njira ya glucose kumaselo amthupi. Ichi ndichifukwa chake shuga amatchedwa "shuga", chifukwa glucose ndi m'gulu la anthu omwe ali ndi shuga.

Pali magawo atatu a shuga, kutengera ndi zomwe zimachitika komanso shuga m'magazi - ofatsa, odziletsa komanso owopsa.

Chifukwa chiyani amayi amadwala pafupipafupi kuposa abambo

Ziwerengero zimati azimayi omwe ali ndi matenda amtundu wa 2 amatha kwambiri kuposa amuna. Kuphatikiza apo, amatha kukumana ndi zovuta zazikulu za matenda a shuga, monga kugunda kwa mtima, stroke, nephropathy, neuropathy, ndi zina zambiri. Kodi ndichifukwa chiyani izi? Zomwe sizikudziwika sizikudziwika, koma asayansi amati nkhaniyi ili mthupi la azimayi. Paubwana, ntchito inayake yoteteza imachitidwa ndi mahomoni ogonana. Komabe, mwa azimayi atasiya kusamba, kupanga mahomoni kumayima. Kwa akazi osiyanasiyana, nthawi imeneyi imayamba nthawi zosiyanasiyana - kwa wina atatha zaka 40, komanso kwa wina wazaka 45-50.

Mphamvu ya chitetezo ya mahomoni itatha, matendawa amayamba kukhazikika. Munthawi imeneyi, chiopsezo chotenga matendawa chimakwera ndi 50%.

Kuphatikiza apo, zoterezi zimathandizanso kuti azimayi akhale ndi minofu yambiri yamafuta poyerekeza ndi amuna. Koma minofu ya adipose ndiyomwe imakonda kwambiri insulin.

Amayi amakhalanso ocheperapo kuposa amuna omwe amachita masewera olimbitsa thupi komanso odzipereka kwambiri ku zakudya zotsekemera (maswiti, confectionery, ayisikilimu, chokoleti). Zinthu zonsezi zimathandizira m'njira zosiyanasiyana.

Amayi omwe ali ndi zaka 40 samadwala matenda a shuga 1 (amadalira insulin). Matendawa amakhala ndi amuna ambiri komanso osakwana zaka 30. Komabe, izi sizingatheke.

Zizindikiro za matenda ashuga mwa akazi

Matenda a shuga, kupatula pokhapokha, alibe zizindikiro zomwe zimatengera amuna kapena akazi. Mwanjira ina, zizindikiro zazikulu za matendawa ndi zofanana kwa abambo ndi amayi.

Njira yayikulu yodziwira matenda omwe shuga ingatsimikizidwe ndi shuga yayikulu yamwazi. Komabe, sikuti aliyense adzapite kukayezetsa magazi ngati angatero. Chifukwa chake, ndikofunikira kuti mumvere thupi lanu ndikukhala ndi luso lotha kudziwa zizindikiro zoyambirira za matendawa.

Chizindikiro chodziwika bwino cha matenda ashuga ndicho kukodza mwachangu. Komabe, chizindikiro chofananira sichimawoneka nthawi yomweyo. Zikuwonetsa kusintha kwa matendawa kukhala gawo locheperachepera pomwe kuchuluka kwa shuga m'magazi kumadutsa 10 mmol / L. Ngati shuga atachepetsa shuga, impso zimayamba kuthyoka, ndikuyamba kulowererapo. Zotsatira zake, shuga amawonekera mkodzo. Nthawi yomweyo, kukodza kumawonjezeka, ludzu limawonekera chifukwa cha kuchuluka kwa madzi am'madzi. Acetone imawoneka m'magazi, mpweya wosasangalatsa wa acetone ukhoza kuchitika. Kuchuluka kwa shuga kumatha kubweretsa ma syndromes monga matenda ashuga, kuchepa pang'ono kapena kuwona kwathunthu, kulephera kwa impso, matenda a coronary, ngozi ya ubongo.

Kodi matenda ashuga angayikiridwe kumbuyoku? Ndizovuta, koma ndizotheka, kuzindikira mawonetseredwe oyamba. Zizindikiro zoyambirira za matenda ashuga mwa akazi zimaphatikizapo:

kutopa,
kupweteka mutu pafupipafupi
kulemera ndi kupweteka m'miyendo, kutupa,
kupweteka mumtima,
kumva kusasangalala
kusakhazikika
kudumphira m'magazi,
kulemera m'miyendo
kusowa tulo
kuchiritsa kwamabala
chizungulire
mawonekedwe a zilonda zam'mimba, zithupsa, mafinya,
dermatitis
kutuluka thukuta kwambiri
Khungu loyera, makamaka
kupenya kwamaso kopepuka, kuyang'ana pamaso,
dzanzi ndi kumva kuwawa m'miyendo,
chitetezo chokwanira, kudwala matenda opatsirana,
kuwonongeka kwa chikhalidwe cha misomali ndi tsitsi,
khungu lowuma
yotupa matenda a m`kamwa, kuwonongeka kwa mano.

Sizizindikiro zonse za matenda ashuga mwa akazi zomwe zimachitika nthawi yomweyo. Komabe, kukhalapo kwa zosachepera zingapo za zizindikiro zoyambirira za matendawa kuyenera kudikira.

Palinso mawonetseredwe amishuga mu azimayi, makamaka a akazi okhaokha. Mwachitsanzo, kumachitika matenda opatsirana a kumaliseche, monga kupindika, kusanza kwa msambo.

Mtundu woyamba wa nthendayi nthawi zambiri umakula mwachangu ndipo umadutsa msanga, pomwe zizindikiro zake, makamaka zabodza, zimawonekera bwino. Komanso mtundu uwu wa shuga umadziwika ndi kuwonda kwambiri.

Zowopsa

Tsoka ilo, kuwonetsa koyamba mwaunyinji sikumakhala kwenikweni kwa matenda ashuga. Ndiye kuti, zofanana ndi zomwezi zimatha kuonedwa m'matenda osiyanasiyana. Ndi nthawi ziti pamene pali chifukwa chokayikira shuga? Zikakhala kuti zotsatirazi zikupezeka:

kunenepa kwambiri
zopsinjika pafupipafupi
matenda ena owonjezera, monga matenda oopsa kapena atherosulinosis,
zosayenera (maswiti ambiri, masamba ochepa) kapena zakudya zosakhazikika,
kusowa tulo kapena kupuma,
kumwa mankhwala a anti-yotupa mahomoni,
kusuta fodya kapena kuledzera.

Zofunikanso chimodzimodzi ndi zomwe zimapangitsa kuti anthu azikumana ndi makolo. Kupatula apo, asayansi atsimikizira kuti zochitika zambiri za matenda ashuga a 2 zimachitika chifukwa cha majini. Ndikokwanira kukumbukira ngati pakati pa abale anu amwazi pali ena omwe adwala kapena akudwala matendawa? Ngati inde, ndiye muyenera kufunsa dokotala.

Palinso chiopsezo china, chomwe ndi kutenga pakati. Ngati mayi watenga matenda a shuga (GDM) pa nthawi yapakati, ndiye kuti akhoza kukhala ndi matenda ashuga amtundu wa 2 atasiya kusamba. Komabe, zochitika zimatha kuchitika malinga ndi zomwe zikuchitika. GDM nthawi zambiri imayenda limodzi ndi pakati. Komabe, nthawi zina, GDM imatha kusinthira bwino ku matenda obwera ndi shuga kumapeto kwa pakati.

Zizindikiro

Amayi ambiri amapita kwa dokotala pokhapokha chizindikiro cha matendawa chidziwike kwambiri, ndipo zimawavuta kuzinyalanyaza. Zomwe zimapangitsa izi ndizomveka - sikuti aliyense amadziwa chomwe matenda ashuga amatanthauza, zomwe zizindikiro zake zazikulu zili, ndi chifukwa chake ndizowopsa. Ngati mzimayi ali ndi vuto lomwe limapweteka kapena kukhala ndi thanzi labwino kusiya. Chifukwa chake, pochita, nthawi zambiri matendawa amapezeka mwangozi, akafufuzidwa pazifukwa zina. Koma chithandizo chikayamba kumene, ndiye kuti matendawa amatithandizanso kukhazikika. Chifukwa chake, zizindikiro zoyambirira zoyaka zikaonekera pambuyo pa zaka 35, muyenera kupita kwa dokotala.

Njira yoyamba komanso yofunika kwambiri yodziwira ndi kuyesa magazi. Pali njira zingapo zowunikira. Wodziwika kwambiri wa iwo amapereka magazi m'mawa pamimba yopanda kanthu. Komabe, sikutali ndi yekhayo. Nthawi zina dokotala amakupangira mayeso otchedwa glucose. Poyesereraku, wodwalayo amapemphedwa kuti amwe kapu yampweya wosungunuka. Mwazi wamagazi amayeza 2 maola pambuyo pake.

Koma njira yodalirika kwambiri yofufuzira yonse ndi kuyesa kwa hemoglobin ya glycated. Zimawonetsa shuga wapakati pamiyezi itatu yapitayo.

Zotsatira za kusanthula

Ngati kuwunika kunawonetsa kuti pali shuga wowonjezereka m'magazi (oposa 6.0 mmol / L), ndiye kuti izi ziyenera kuthandizidwa. Kuti muchite izi, funsani kwa endocrinologist yemwe akupatseni njira yochizira.

Koma ngakhale atazindikira kuti matendawa sanatsimikizire kupezeka kwa matenda ashuga, ndiye kuti ichi sichiri chifukwa choiwaliratu za ngoziyi. Kupatula apo, matendawa amatha kupezeka nthawi iliyonse, zovuta zilizonse ndizokwanira - matenda a mtima ndi mitsempha yamagazi, kupsinjika kwakukulu, kumwa mankhwala. Chifukwa chake, kuyesedwa kwakanthawi kochepa kwa shuga (pafupifupi kamodzi pachaka) kumalimbikitsidwabe.

Izi ndizofunikira makamaka kwa azimayi omwe kuwunikira kwawo kudawonetsa prediabetes - dera lamalire momwe matenda othandizira odwala matendawa sanawonekere, koma kulolerana kwa glucose kuli kale ndi vuto (kuchuluka kwa glucose kuposa 5.5 mmol / l). Kuchita kukuwonetsa kuti matendawa ndi gawo loyambirira la matendawa, omwe nthawi zambiri amasinthidwa kukhala mtundu wachiwiri wa matenda ashuga. Ngakhale izi zikachitika, palibe amene anganenere. Chifukwa chake, pakakhala zotere, ndikofunikira kuchita nawo kupewa matendawa - kusinthana ndi chakudya chapadera, kuwonjezera kuchuluka kwa zochitika zolimbitsa thupi ndikuwunika magazi pafupipafupi kuti mupeze kuchuluka kwa shuga.

Mtundu woyamba wa shuga

Asanu mwa anthu 100 omwe ali ndi matenda ashuga ali ndi matenda amtundu 1 shuga. Ngati muli ndi matenda amtundu 1, thupi lanu silingapangitse insulini. Ndi chithandizo choyenera, momwe mumakhalira komanso zakudya (onani Zakudya za matenda amtundu 1): zoyambira, zofunikira), mutha kukhalabe ndi moyo wokwanira.

Madokotala nthawi zambiri amazindikira mtundu 1 wa shuga mwa anthu ochepera zaka 40. Anthu ambiri omwe adapezeka ndi matenda amtundu 1 amakhala ana ndi achinyamata.

Type 2 shuga

Mtunduwu wa matenda ashuga ndiwofala kwambiri kuposa mtundu 1 wa shuga. Chiwopsezo cha chitukuko chake chimakula ndikukalamba, makamaka pambuyo pa zaka 45.

Ngati muli ndi matenda a shuga a 2, thupi lanu limalimbana ndi insulin. Izi zikutanthauza kuti sangathe kugwiritsa ntchito bwino insulin. Popita nthawi, thupi lanu silingatulutse insulin yokwanira kuti magazi azisungunuka m'magazi. Pali zinthu zingapo zomwe zitha kuchititsa kuti matenda ashuga amtundu wa 2 akhale, monga:

chibadwa
zizolowezi zoipa
onenepa kwambiri
kuthamanga kwa magazi

Matenda a shuga amakhudza amuna ndi akazi m'njira zosiyanasiyana. Amayi omwe ali ndi matendawa ali pachiwopsezo chachikulu chotenga:

matenda a mtima, omwe ali ovuta kwambiri kwa matenda ashuga
khungu
kukhumudwa

Ngati mwapezeka kuti muli ndi matenda ashuga, mutha kuchitapo kanthu kuti muchepetse magazi anu ndi kuchepetsa ngozi ya zovuta. Zakudya zoyenera bwino (mosalekeza) komanso chithandizo chomwe dokotala amakupatsani zingakuthandizeni pa izi. Mutha kudziwa zambiri zamadyedwe a shuga a 2 pano - Mtundu wachiwiri wa shuga

Zizindikiro zake

Zizindikiro zambiri zimayamba pang'onopang'ono ndi matenda a shuga a mtundu wachiwiri kuposa matenda a shuga 1. Penyani zizindikiro ndi izi:

kutopa
ludzu lalikulu
kuchuluka kukodza
masomphenya osalala
Kuchepetsa thupi popanda chifukwa
kumalirira mikono kapena miyendo
gum sensitivity
kuchira pang'onopang'ono kwa mabala ndi mabala

Zizindikiro ndi zizindikiro za matenda ashuga mwa akazi pambuyo pa zaka 40 zimasiyana. Mutha kukumana ndi zina mwazizindikiro nthawi imodzi. Ngati mungazindikire chilichonse mwa izi, funsani dokotala. Amatha kuwonetsa matenda ashuga kapena matenda ena, motero ndikofunikira kuti adziwe zoyenera.

Mutha kuvutikanso ndi matenda osokoneza bongo popanda zizindikilo ndi zoonekeratu. Ichi ndichifukwa chake ndikofunikira kuti mutsatire malangizo a dokotala kuti mufufuze magazi anu pafupipafupi - ngati muli ndi zaka 40.

Zomwe zimachitika

Ngati muli ndi matenda ashuga, thupi lanu silipanga kapena kugwiritsa ntchito bwino insulin. Insulin ndi timadzi timene timathandiza kuti thupi lisinthe glucose kukhala mphamvu ndikuisunga glucose owopsa m'chiwindi. Thupi lanu likapanda kupanga kapena kugwiritsa ntchito bwino insulini, shuga amapanga m'magazi. Popita nthawi, shuga wamagazi amatha kubweretsa zovuta zambiri.

Kuzindikira matenda ashuga

Simungadziwe ngati muli ndi matenda ashuga mpaka mutapezeka bwino. Dokotala wanu mwina angakuyeseni mayeso a plasma glucose (kusala) kuti muwone ngati ali ndi matenda ashuga.

Asanapange kusanthula, dokotala adzafunsani kuti musala kudya kwa maola asanu ndi atatu. Mutha kumwa madzi, koma muyenera kupewa kudya zakudya zilizonse panthawiyi. Gawo la magazi lidzatengedwe kwa inu mukamayesedwa kuti muone magazi anu. Ngati shuga wanu wamagazi ndi 7 mmol / L kapena kuposerapo, dokotala wanu angadziwe matenda a shuga.

Mutha kuyeseza mosiyana pambuyo pake. Mudzafunsidwa kuti mumwe chakumwa chokoma ndikuyembekezera maola awiri. Uku ndikuwona momwe thupi lanu limachitikira ndi shuga. Dokotala wanu amawunika shuga wamagazi anu kwa maola awiri. Pakatha maola awiri, amatenga wina magazi anu ndikayezetsa. Ngati shuga wanu wamagazi ndi 11 mmol / L kapena kuposa, dokotala wanu adzazindikira matenda a shuga.

Dokotala wanu angakupatseni mankhwala othandizira kupititsa patsogolo shuga m'magazi. Mwachitsanzo, amatha kukupatsani mapiritsi, jakisoni wa insulin, kapena onse awiri.

Kuti muchepetse matenda a shuga ndikuchepetsa zovuta, muyenera kukhala ndi moyo wathanzi. Chitani masewera olimbitsa thupi pafupipafupi komanso kusamalira bwino zakudya zanu (onani Zakudya za Type 2 shuga: Zabwino Kwambiri Ndi Zosayenera). Ganizirani mapulani azakudya ndi maphikidwe omwe amapangidwira makamaka anthu odwala matenda ashuga.

Matenda a shuga amawoneka ngati matenda osachiritsika, koma mutha kuchitapo kanthu kuti muchepetse shuga lanu lamagazi ndikuchepetsa chiopsezo cha zovuta. Mwachitsanzo, kudya mokwanira komanso kuchita masewera olimbitsa thupi kwa mphindi 30 patsiku kungakuthandizeni kuthana ndi shuga. Ndikofunikanso kutsatira njira yeniyeni yovomerezeka yomwe dokotala amakupatsani.

Kupewa

Amayi azaka zopitilira 40 atha kutenga njira zodzitchinjiriza. Izi zikuphatikiza ndi izi:

Khalani ndi kadzutsa. Izi zitha kukuthandizani kuti mukhale ndi shuga wamagazi okhazikika.
Chepetsani kuchuluka kwa chakudya chamafuta muzakudya zanu. Izi zikutanthauza kuti pakufunika kuchepetsa zakudya zomwe zimakhala ndi zakudya zamafuta ndi zakudya zina zokhazikika monga mbatata.
Idyani zamasamba atsopano, zipatso ndi zipatso.. Izi zimaphatikizapo masamba obiriwira, okhala ndi masamba obiriwira komanso malalanje, zipatso zonse ndi zipatso. Izi zikuthandizani kuti mupeze mavitamini ndi michere yambiri yofunikira kuti mukhale ndi thanzi labwino.
Phatikizani ndi zosakaniza zamagulu angapo azakudya zambiri. Mwachitsanzo, m'malo momangodya apulo, yesani kuphatikiza ndi batala la chiponde chama protein ambiri kapena tchizi chochepa kwambiri.
Pewani sodas ndi zakumwa za zipatso.. Ngati mumakonda zakumwa zochokera mu kaboni, yesani kusakaniza madzi a kaboni ndi madzi a zipatso kapena zipatso zochepa za zipatso.

Pafupifupi mayi aliyense yemwe ali ndi matenda ashuga pambuyo pa 40 atha kupindula ndi izi pazakulimbikitsidwa pakudya. Palibe chifukwa chokonzera chakudya padera chomwe inu ndi banja lanu. Mutha kudya chakudya chokoma ndi chopatsa thanzi limodzi. Kukhala ndi moyo wabwino komanso kadyedwe kazakudya kumatha kukuthandizani kupewa matenda ashuga komanso zizindikiro zake, komanso kuchepetsa mwayi wamavuto. Sizimachedwa kwambiri kuti muyambe kubzala zinthu zabwino.

Matenda a shuga pambuyo pazaka 40 mwa akazi: mawonekedwe

Mwambiri, matenda ashuga mwa akazi samadziwonetsa. Mkaziyo amafotokozera kutopa kwakukwera, kusinthasintha kwadzidzidzi ndi kupweteka kwa mutu kwakanthawi kokhala ndi katundu wolemera kapena kutopa ndi ntchito zatsiku ndi tsiku. Mwayi wopezeka ndi matendawa koyambira ndiwokwera kwambiri kwa azimayi omwe amagwira ntchito m'makampani omwe amafunikira mayeso apachaka (ogwira ntchito ku Russia Railways, antchito othandizira, aphunzitsi). Kuyambitsidwa kwa mayeso okonzekera zamankhwala kunathandizanso pakuwunika koyambirira kwa matenda owopsa, chifukwa chake simuyenera kukana kupita kukapemphedwa.

Kodi matenda ashuga ndi chiyani?

Kukula kwa matenda ashuga mwa akazi opitilira 40 kumakhudzidwa ndi zinthu zingapo zomwe zimakhudzana ndi kusintha kwa thupi mu thupi la mkazi pakadali pano. Izi zikuphatikiza:

kusintha kwa mahomoni ndi maudindo omaliza pa kusintha kwa thupi,
Matenda a chithokomiro chifukwa cha kuchepa kwa kapangidwe ka mahomoni a chithokomiro.
kutsika kwa kagayidwe kachakudya mthupi (kuphatikizapo kaphatikizidwe ndi kagayidwe ka shuga).

Njira yayikulu yothanirana ndi kukhalapo kwa matenda ashuga pambuyo pa zaka 40 ndikuyesa magazi kawirikawiri. Malinga ndi zotsatira za kusanthula, mutha kudziwa kuchuluka kwa shuga, ndipo pakukula kwake, mutumizireni wodwalayo mayeso ena omwe angathandize kumveketsa bwino matendawo.

Mitundu ya Matenda A shuga

Muyezo wa shuga akazi pambuyo zaka 40

Pofufuza, magazi a venous kapena capillary angagwiritsidwe ntchito. Pogulitsa pano pali kusankha kwakukulu kwa ma glucometer opangidwa kuti amayeze shuga kunyumba. Akatswiri amalangizidwa kugwiritsa ntchito chipangizochi kuwongolera shuga pambuyo popezeka kuti mwapeza ngati njira yothanirana kapena yothandizira. Pozindikira koyamba, ndibwino kuti mukayezetse mayeso, omwe amakupatsani zotsatira zolondola.

Kuti mawunikidwe awonetse zotsatira zabwino, ndikofunikira kukonzekera bwino. Kuti muchite izi, muyenera:

Osamadya kapena kumwa kwa maola 8 musanawunike (ndikwabwino kuti pakhale maola 12),
tsiku limodzi lisanachitike phunziroli, chotsani ku zakudya zomwe zimatsitsa shuga (masamba, ma apulosi, sipinachi), mowa ndi zokazinga / zotsekemera,
musamatsotse mano anu kapena kugwiritsa ntchito chingamu,
osasuta
musatenge mavitamini ndi zina zowonjezera zopangira.

Chikhalidwe cha shuga m'magazi

Ngati wodwalayo amamwa mankhwala, muyenera kuchenjeza waluso yemwe adzalembetse zapadera za izi. Dokotala aziganizira zomwe zingachitike mukawunika zotsatira za kafukufukuyu.

Kuchuluka kwa shuga kwa akazi pambuyo pa 40 kumatha kuwoneka motere:

Norm	3.3-5.5 mmol / L	3.9-6.1 mmol / L
Matenda a shuga	5.6-6.0 mmol / L	6.1-6.5 mmol / L
Matenda a shuga	≥ 6.1 mmol / L	≥ 6.6 mmol / L

Patsani magazi shuga miyezi isanu ndi umodzi iliyonse. Izi ndizofunikira pakuzindikira koyambirira komanso kulandira chithandizo kwa panthawi yake. Ngati mayi anyalanyaza izi, ayenera kukhala osamala kwambiri ndipo ngati mukuwona zizindikilo zilizonse zomwe zingasonyeze kukula kwa matenda osokoneza bongo, pitani kuchipatala msanga.

Momwe mungadziwire matenda ashuga pambuyo pazaka 40?

Type 2 shuga mellitus amatenga malo achiwiri pakati pa matenda omwe amapezeka mwa azimayi omwe ali ndi zaka zopitilira 40 mpaka 40 (pambuyo pa uterine fibroids ndi matenda am'mimba). Matendawa ndi pafupifupi asymptomatic, koma pali zizindikiro zina zomwe zingadziwe chithunzi cha matenda ashuga. Zambiri mwazizindikirozi ndizofala pamatenda ena, motero sizipatsidwa kufunika kwakukulu. Izi zikufotokozera kuti amayi amafika kwa dokotala atadwala kale, zomwe zimachitika chifukwa cha zovuta.

Zomwe zimayambitsa matenda A shuga A Type 2

Zowonongeka

Mzimayi amatha kudandaula kuti kuchepa kwa maonedwe owoneka, maonekedwe opanda pake. Maso amatopa msanga, pamakhala zotentha ndi zomverera za "mchenga m'maso." Potengera komwe kudwala matenda ashuga, matenda amaso amayamba: myopia kapena hyperopia, glaucoma, matenda amkati. Mayi akakhala nthawi yayitali pakompyuta, Zizindikiro zimakulirakulira, ndipo pakutha kwa tsikulo, masomphenya amatha kuonekera pamaso panga. Zodabwitsazi ndizakanthawi kochepa ndipo sizikupitilira mphindi 1-2.

Zotsatira za matenda ashuga

Udzu wokhazikika

Kuphwanya mphamvu ya maselo kuti apange insulin akhoza kutsagana ndi ziwalo zowuma zamkamwa. Izi zimawonetsedwa ndi ludzu losatha, lomwe silimatha ngakhale mkazi akamwa madzi kapena compote. Poyerekeza ndi maziko awa, kuchuluka kwa madzimadzi kumawonjezeka. Nthawi zina, wodwalayo amatha kumwa mpaka malita atatu a zakumwa patsiku. Popeza impso zokhala ndi matenda ashuga sizingagwire ntchito bwino, mankhwalawa amamwa mochuluka kumayambitsa mapangidwe a edema, omwe nthawi zambiri amapezeka kumapeto ndi nkhope.

Mtundu woyamba wa shuga

Kuchulukana kwa mafupa

Kuchepa kwa mchere kwa minofu kungayambitse kukula kwamitundu ya mafupa - matenda omwe mchere wamchere umatsukidwa kuchokera m'mafupa. Mafupa amakhala ofooka komanso osakhazikika, osweka mosavuta. Ngati mayi nthawi zambiri amavulala popanda chifukwa chodziwika bwino, pitani kuchipatala. Posakhalitsa matenda atapezeka, ndiye kuti mwayi wolandira chithandizo bwino.

Type 2 shuga

Khungu loyera

Ndi matenda a shuga, chitetezo chamthupi komanso ma cell amachepetsa, zomwe zimawonjezera kudziwikiratu kwa matenda oyambitsidwa ndi bakiteriya ndi fungus. Nthawi zambiri khungu ndi mucous nembanemba zimakhudzidwa. Matenda ofala kwambiri mwa azimayi opitirira 40 ndi vagidi candidiasis (thrush). Odwala omwe ali ndi matenda ashuga, matendawa amatha kubwereza kangapo pachaka 4-6, pomwe mankhwalawa amatha nthawi yayitali ndipo amafunika kugwiritsa ntchito mankhwala amphamvu.

Nthawi zambiri mafangayi amawonekera pakhungu, komanso pansi pa chifuwa. Pankhaniyi, mawanga ofiira ofiira kapena ofiira ayamba kuwoneka pakhungu, omwe amakhala ndi fungo losasangalatsa ndipo amayambitsa kuyabwa kwambiri.

Zizindikiro za matenda ashuga

Kulemera

Ngati mayi ali ndi moyo wakhama, amadya moyenera, koma akunenepa, ndikofunikira kuyang'ana ndi endocrinologist. Kuwonjezeka kwa kulemera kwa thupi (nthawi zambiri kumachitika mwachangu) ndichimodzi mwazizindikiro zazikulu za matenda amtundu uliwonse zomwe zimachitika chifukwa cha kusalingana kwa mahomoni. Pali nthawi zina, m'miyezi yowerengeka yokha, kulemera kwa mzimayi kumawonjezeka ndi 30-40 kg, chifukwa chake, kufunsa katswiri pazakudya zolemera popanda chifukwa chofunikira ndizovomerezeka.

Kuchulukitsa thupi monga provocateur wa matenda ashuga

Kuphwanya kusinthika kwa khungu

Ndi matenda a shuga, khungu limatha kuchira kwathunthu, zomwe zimayambitsa kuphwanya umphumphu wa dermis. Mabala aliwonse, abrasions ndi mabala amatulutsidwa kale. Kapangidwe ka mankwala kumayenda pang'onopang'ono, mabala amatha kutuluka magazi kwa masiku angapo, ngakhale nthawi zambiri amayenera kuchira masiku awiri. Kugwiritsa ntchito mafuta apadera ndi mafuta omwe amasintha kukonzanso khungu kumapereka kofatsa.

Zowopsa za Matenda A shuga

Kuchulukitsa pokodza usiku

Wodwalayo nthawi zambiri amayamba kukodza pakamagona, pomwe masana kuchuluka kwa zotulutsa kumakhalabe kosakwanira. Ichi ndi chifukwa cha kuwonongeka kwa impso ndi kuchuluka kwamadzi ambiri, okhala ndi matenda amtundu wa 2. Kuchuluka kwa mkodzo wothira usiku sikukwera kwambiri ndikuchokera 100 mpaka 230 ml. Mtundu nthawi zambiri umakhala wachikasu, kumatulutsa pang'ono ndikuwonekera (chizindikiro ichi chimatengera mtundu wa impso ndi kuchuluka kwa zosokoneza pakugwira ntchito kwawo).

Munthu wamkulu akamakula, ndiye kuti amatha kudwala matenda a shuga

Zilonda ndi mawanga pakhungu

Zizindikirozi ndizosowa (pafupifupi 17% ya milandu). Mzimayi amatha kuwoneka pakhungu pakhungu, kunja kofanana ndi malo owonjezereka. Amatha kukhala ndi pinki, thupi, burgundy komanso bulauni. Pamwamba pa mawanga mutha kuphimbidwa ndi mamba oyera. Kuyabwa nthawi zambiri sikuwonetsedwa. Kukula - kuchokera mamilimita ochepa mpaka 10-12 cm.

Nthawi zina zilonda zam'mimba zimapezeka pamalo amtunduwu. Nthawi zambiri zimakhala pamiyendo ndi m'chiuno, koma nthawi zina zimawoneka pamimba ndi miyendo yam'mwamba.

Khungu limapangitsa kuti pakhale shuga

Kugwedezeka ndi miyendo

Kudzimva kwamiyendo m'miyendo yokhala ndi matenda ashuga kumachitika kawiri. Amayi ena amati izi zimayambitsa kusowa kwa magnesium. M'malo mwake, kudya kosakwanira kwa magnesium, dzanzi ndi kukokana kumachitika makamaka usiku, ndipo odwala matenda ashuga amatha kuchitika nthawi ina iliyonse masana, pomwe izi zimatha mpaka mphindi 3-5 (mosiyana ndi usiku kulira).

Ngati mayi alibe nthawi yakuya, amatha kusamba. Kutopa kwambiri, mphwayi, kuchepa kwa ntchito, komanso kupweteka pamutu nawonso ndi anzawo omwe ali ndi matenda ashuga. Izi ndizokhazikika ndipo sizipita pambuyo pa mavitamini ndi njira zina.

Pakatha zaka 50, zizindikilo zazikuluzikulu za matenda amisempha zimachepa ndikuwona kuyamwa. Wodwalayo nthawi zambiri amawoneka matenda opatsirana a genitourinary system (cystitis, urethritis, pyelonephritis), komanso zotupa za pakhungu pakhungu ndi mucous nembanemba.

Zizindikiro za matenda a shuga

Zofunika! Zizindikiro zomwe zatchulidwa zimatha kuchitika kamodzi. Pafupifupi zizindikiro zonse za matendawa zimawoneka movutikira, kotero ngakhale imodzi mwazo ndi chifukwa chopita kuchipatala kukayezetsa zonse.

Ngati mwapezeka ndi matenda a shuga

Ngati mayi wapezeka ndi matenda a shuga a 2, ndikofunikira kuti asakhumudwe. Mutha kukhala ndi matenda, ndikukhala nthawi yayitali komanso osangalatsa. Kuti achepetse zovuta komanso kukonza moyo wabwino, mkazi ayenera kutsatira mosamalitsa zomwe wapatsidwa ndi dokotala. Kudya kwa makonda mwanjira zomwe zimachepetsa shuga ("Siofor», «Glucophage»), Ndi mankhwala ena omwe ali mgulu la mankhwala ophatikizika ndipo amasankhidwa payekhapayekha, ndizofunikira kuti thupi lizigwira ntchito bwino ndikukhalabe moyo wa wodwalayo.

Amayi ambiri, ataphunzira zonunkhira za mankhwalawa, amawopa kumwa chifukwa cha kuchuluka kwa zotsatira zoyipa. Tiyenera kumvetsetsa bwino kuti mapindu a mankhwalawa ndi apamwamba kwambiri kuposa kuvulazidwa komwe kumayembekezeredwa, chifukwa osati thanzi lokha, komanso moyo wa wodwalayo umadalira chithandizo.

Zofunika! Mu matenda a shuga, muyenera kumwa mankhwala onse omwe dokotala wakulemberani. Kudziletsa pakokha sikuloledwa. Ngati mavuto akuwonjezeka kapena kuwonjezeka kwa thanzi, ndikofunikira kudziwitsa dokotala, koma osasiya kumwa mankhwalawo.

Chofunika kwambiri ndi moyo womwe mayi amatsatira ataphunzira za matendawa. Udindo wotsogola umaperekedwa ku zakudya. Zogulitsa zomwe zimakhala ndi index yayikulu ya glycemic (ndiye kuti, zomwe zimayambitsa kusinthasintha kowopsa mu shuga) zimachotsedwa kwathunthu ku menyu. Izi zikuphatikiza:

Kuphika batala
mikate yoyera
confectionery ndi maswiti,
shuga
mitundu ina ya chimanga (balere, barele),
zipatso zokoma (mphesa, nthochi, Persimmons).

Zinthu zothandiza komanso zovulaza kwa odwala matenda ashuga

Monga mchere, nthawi zina amaloledwa kugwiritsa ntchito marshmallows kapena marshmallows. Mutha kudya magawo angapo a marmalade achilengedwe pa pectin kapena seaweed. Zipatso ndi zipatso ndizothandiza kwambiri. Mu shuga, tikulimbikitsidwa kudya pafupipafupi maapulo, yamatcheri, raspberries, mapeyala, plums. M'nyengo muyenera kudya ma apricots ndi ma cherries ambiri - zipatsozi zimachepetsa shuga ndikwaniritsa thupi ndi ma amino acid ndi mavitamini.

Osatengeka ndi zipatso zouma. Ngakhale zabwino zonse za zipatso zouma, zimaloledwa kuzigwiritsa ntchito pongopanga ma compotes, popeza zomwe zili ndi calorie ndizambiri.

Zofunika! Zizolowezi zilizonse zoyipa (kudya kwambiri, uchidakwa, kusuta) kufupikitsa moyo, zimawononga magwiridwe antchito ndipo zingayambitse zovuta zina. Zotsatira zabwino zochizira sizingatheke ngati wodwalayo atasiya kusuta fodya komanso kumwa mowa.

Khalidwe la anthu odwala matenda ashuga liyenera kukhala lodekha momwe kungathekere. Kupsinjika kulikonse ndi kusakhazikika kumatha kubweretsa kusinthasintha kwa mahomoni komwe kumawononga mayendedwe a matendawa ndipo kumathandizira pakukula kwake. Mkazi ayenera kuphunzira kudziletsa. Kugwiritsa ntchito njira zopumulitsira kumapereka zotsatira zabwino.

Kupsinjika monga chifukwa cha matenda ashuga

Mutha kuthawa malingaliro osalimbikitsa ndikuchepetsa kutopa pogwiritsa ntchito njira imodzi:

kusamba popuma ndi mchere wamchere ndikunyamuka mafuta ofunikira,
aromatherapy
kutikita minofu
Zitsamba zazitsamba ndi uchi kapena mkaka.

Ngati wodwala akudwala matenda osowa tulo, mutha kumwa mkaka wofunda ndi uchi asanagone. Monga adokotala adakulangizani, mutha kuchita zinthu zina modekha: "Valerian», «Glycine», «Mayi».

Musaiwale za zolimbitsa thupi. Magulu olimbitsa thupi omwe ali ndi amayi omwe ali ndi matenda ashuga ayenera kusankhidwa payekhapayekha, poganizira zokhudzana ndi msinkhu komanso kupezeka kwa matenda osachiritsika. Zipatala zambiri zimakhala ndi makalasi apadera othandizira odwala omwe ali ndi matenda a shuga a 2, omwe amatha kuchezeredwa ndi adokotala.

Matenda a shuga ndi matenda oopsa omwe akupita patsogolo chaka chilichonse, chifukwa chake ndikofunikira kuyang'anira chidwi chake popewa. Kuzindikira koyambirira kumatanthauzanso njira zodzitetezera, chifukwa zimakuthandizani kuzindikira mitundu ya matenda am'mizere ndikuchita mwanjira yake chithandizo. Kudziwa zisonyezo ndi chizindikiro cha matendawa omwe amawonekera mwa amayi pambuyo pa zaka 40, mutha kuyankha mwachangu ndi dokotala, kuletsa kusintha kwa matendawa kukhala fomu yonyalanyazidwa.

Vidiyo - Matenda A shuga: Zizindikiro

Matenda a shuga ndi kuphwanya kagayidwe kazinthu kamadzi m'thupi, zomwe zimapangitsa kuphwanya kapamba. Ndiamene ali ndi udindo wopanga mahomoni otchedwa insulin. Homoni ndi imodzi mwazinthu zomwe zimapangidwa pokonza shuga ndikusintha kwake kukhala glucose.

Kuperewera kapena kusowa kwa insulini kumapangitsa kuti shuga azikhala pang'ono pang'onopang'ono m'magazi, ambiri omwe amapukusidwa kudzera mkodzo. Chifukwa chake, kuchuluka kwa shuga kumakhudza kagayidwe kamadzi. Tizilombo ta wodwalayo sitingathe kusunga madzi, chifukwa chake impso zambiri zosafunikira zimakonzedwa ndi impso.

Amayi atatha zaka 40, zaka 50, kapena msinkhu wina uliwonse akapezeka ndi shuga wambiri, titha kukambirana za chitukuko cha matenda ashuga. Matenda okhudzana ndi metabolism amatha kukhala obadwa mwatsopano kapena kutengedwa. Wodwala nthawi zambiri amakhala ndi mano, mantha, masomphenya, ma pustules amawoneka pakhungu, angina pectoris, atherosulinosis, matenda oopsa.

Mitundu ya matenda ashuga mwa akazi

Ngati tilingalira za mtundu wa matenda a shuga a 2, kuti zimachitika mwazinthu makumi asanu ndi anayi zakubadwa. Monga lamulo, gawo lalikulu lachiwopsezo ndi amuna ndi akazi omwe zaka zawo ndi zopitilira zaka makumi anayi, koma sizichitika kawirikawiri mwa ana kapena atsikana achichepere.

Odwala ambiri omwe ali ndi mtundu uwu wa shuga ndi onenepa kwambiri, ziyenera kudziwika kuti kunenepa kwambiri komanso matenda a shuga nthawi zonse amalumikizana.

Monga momwe masewera akusonyezera, matenda a shuga a 2 amachiritsika kwambiri. Kuwongolera vutoli, ndikokwanira kuti wodwalayo ayambe kutsogola moyo wathanzi. Mukanyalanyaza izi, zovuta zazikulu zimayamba kukulira zomwe zimakhudza ziwalo zamkati kapenanso machitidwe awo.

Zizindikiro za matenda ashuga mwa akazi pambuyo pa 40 zimawonekera kawirikawiri ngati talankhula za mawonekedwe ake oyamba. Matenda a 1 a mtundu wa shuga nthawi zambiri amadzimva akadali aang'ono kapena aunyamata. Matendawa amatengedwa kuti ndi akulu kwambiri ndipo sangathe kuthandizidwa. Moyo wa wodwala umathandizidwa ndi jakisoni wa insulin yemwe sangathetse vutoli kwathunthu.

Zadziwika kuti m'zaka zaposachedwa, mtundu 1 wa matenda a shuga umapezeka kawirikawiri mwa azimayi azaka za pakati pa 41 mpaka 49. Amadziwikanso kuti pazaka izi matendawa amaloledwa mosavuta kusiyana ndi achinyamata.

Ngati mzimayi wazaka zopitilira 42 kapena wazaka zilizonse ali ndi matenda ashuga amtundu woyamba kapena wachiwiri, ndipo nawonso amakhala ndi pakati, amawerengedwa ngati chiwopsezo. Matendawa sikuti akuphwanya mimba, komabe, munthawi yakubala mwana pamafunika chisamaliro chapadera. Kunyalanyaza vutoli nthawi zambiri kumayambitsa kusokonezeka kwa fetus.

Matenda a shuga a gestational ndimatenda omwe amakula mwachindunji panthawi yapakati. Nthawi yomweyo, zaka za mkazi sizofunikira kwenikweni, zimatha kuwonekera, monga momwe zimakhalira zaka makumi anayi ndi ziwiri mwa mkazi amene wabereka kachiwiri, komanso makumi awiri.

Nthawi zambiri, mawonetseredwe a matendawa amapezeka wachiwiri trimester, pomwe mahomoni azomwe amasintha kwambiri, pambuyo pake shuga amatha kuchuluka.

Monga lamulo, pambuyo pobala mwana zinthu zimakhazikika, kuchuluka kwa shuga m'magazi kumabwezeretseka. Komabe, mkazi wamtsogolo akuyenera kusamala, chifukwa pali ngozi yoti patatha zaka 45 adzalandira nthenda yachiwiri.

Matenda amtunduwu alibe zizindikiro. Asanabadwe, sizingaoneke. Makamaka chidwi ndi shuga ya magazi iyenera kuperekedwa kwa amayi apakati, omwe kulemera kwa fetal kumakhala kwakukulu kuposa kwazonse ndi ultrasound.

Sonyezani shuga yanu kapena sankhani jenda kuti mulimbikitsidwe

Titha kusiyanitsa zizindikiro zoyambirira za matenda ashuga mwa akazi, zomwe zimapangitsa kudziwa matenda ashuga mwa iwo atatha zaka 40 - 46. Zomwe zimayambitsa chitukuko cha matendawa zimatha kukhalanso chibadwa chamunthu. Zoyambitsa zomwe zimachitika ndi izi:

Kulephera kutsatira zakudya.
Kunenepa kwambiri komanso kunenepa kwambiri.
Kupanda kuyenda.
Kupanikizika pafupipafupi.
Zovuta za chikhalidwe chamafuta.

Zizindikiro zomwe zidalembedwera shuga kwa akazi zimakhudza kugwira ntchito kwa kapamba, yemwe amasiya kugwira ntchito zake. Pachifukwa ichi, kuchuluka kwa shuga m'magazi kumawonjezeka ndipo shuga imayamba. Zizindikiro zoyambirira za matenda ashuga omwe amapita patsogolo azimayi atatha zaka 44 ndi monga:

Kuchulukitsa kutulutsa thupi kapena nkhope.
Kulephera kwa msambo.
Kuzindikira kwa mkhalidwe wambale ya msomali, tsitsi, mawonekedwe a zilonda kapena ziphuphu kumaso.
Kunenepa kwambiri, komwe kumatha kubweretsa kunenepa kwambiri.
Ludzu lalikulu ndi njala, ngakhale mutatha kudya.
Chizungulire, kutopa, kufooka.
Kuyabwa
Kuchiritsa pang'onopang'ono kwa mabala.

Ma alamu amawonekera koyamba. Ngati mayi wazaka 47 kuphatikiza / opanda zaka zingapo ali ndi zisonyezo zingapo pamndandanda womwe uli pamwambapa, ndikofunikira kukayezetsa. Pa magawo oyamba, kukonza zakudya, komanso kukhazikitsidwa kwa njira yolimba, kumatha kuthetsa vutoli.

Ngati tilingalira moyenera za momwe matenda a shuga amapitilira mzimayi, ndikofunikira kudziwa mawonekedwe angapo apamtima. Matendawa amakhudza mkhalidwe wamatumbo, ndichifukwa chake kayendedwe ka magazi kamasokonezeka pansi pa khungu komanso pakhungu la mucous. Izi zikuphatikiza:

Maonekedwe a ma microcracks pa mucous nembanemba, kupsinjika kwambiri kwa nkhope.
Sinthani mulingo wa asidi mkati mwa nyini.
Kuchepetsa mphamvu yoteteza chitetezo m'thupi.
Kuchepetsa zimagwira mucous.
Ma microcracks omwe amawonekera pang'onopang'ono amachira, motero, amachititsa mawonekedwe a bowa ndi ma virus.

Iyenera kuwunika makamaka pakuluma komwe kumapitilira, komwe kumatha kuzunza nthawi yonse. Mutha kuthana ndi izi posankha zoyipa zapaukhondo, ma shampoos, sopo, ma shafa osambira. Zokonda ziyenera kuperekedwa kwa zinthu zomwe zimakhala ndi mawonekedwe ochepa a khungu lolimba.

Chikhalidwe cha mkazi, makamaka ali ndi zaka 43-50, ndikusagwira bwino kwa msambo. Kusintha kwa ma horoni am'mbuyo kumabweretsa chiopsezo chowonetsa matenda opatsirana. Kuphwanya kwa kugonana kumakhalanso ndi malo.

Nthawi zina, ndi kusamba komwe kumayambitsa kukula kwa matenda ashuga.

Zotsatirazi zomwe zimayambitsa matenda ashuga zimatha kusiyanitsidwa:

Dongosolo la kudziwikiratu mtima limawerengedwa kuti ndi chinthu chofunikira kwambiri. Kuti muchepetse chiwonetsero cha matendawa, tikulimbikitsidwa kuti zina zonse zoyambitsa zichepetse mpaka zero.
Kunenepa kwambiri Amayi ambiri omwe adatha zaka makumi anayi, amadwala matenda ashuga makamaka chifukwa cholemera kwambiri, omwe ayenera kuthana nawo.
Matenda a Beta-cell omwe amathandizira kupanga insulin. Izi zimaphatikizapo khansa ya kapamba, kapamba, ndi zina zotero.
Kufala mu ukalamba wa matenda monga nkhukuzi, rubella, chimfine, ndi zina zambiri. Matenda opatsirana amatengedwa ngati malo othandiza kukula kwa matenda ashuga, makamaka pamene mayi ali pachiwopsezo.
Kukhala ndi nkhawa nthawi zonse. Mzimayi atakwanitsa zaka makumi anayi ayenera kudziteteza mosamala pakusokonezeka maganizo.

Sizomwe zimayambitsa ndi zizindikiro za matenda ashuga mwa akazi zalembedwa. Mndandandandawu mulibe matenda omwe shuga ndi chizindikiro chachiwiri. Komanso, shuga wambiri sangatchedwa shuga, mpaka mawonekedwe ake azachipatala azioneka.

Hyperglycemia ikhoza kukhalanso chizindikiro cha zotupa zomwe zikukula, adrenal hyperfunction, kapamba, ndi zina.

Ngati mumanyalanyaza zizindikirocho

Matenda a shuga a shuga, ngati matenda odziimira pawokha, siwopseza moyo wa munthu. Komabe, mutasiyidwa, zimatha kubweretsa zovuta zazikulu zomwe zingayambitse imfa.

Chimodzi mwazotsatira zazikulu zimadziwika kuti ndi matenda a shuga. Zizindikiro zake zimakula mwachangu, chizindikiritso chodziwikiratu ndi chisokonezo, kuletsa zomwe zimachitikazo. Wodwala wokhala ndi zizindikiro zotere ayenera kuchipatala.

Khofi wambiri wa ketoacidotic, yemwe amapezeka chifukwa cha kuchuluka kwambiri kwa zinthu zopangidwa ndi poizoni zomwe zimapangidwa panthawi ya kagayidwe. Zimasokoneza ntchito ya maselo amitsempha. Chizindikiro chachikulu cha chikomokere cha mtundu uwu ndi kununkhira kwa acetone mkamwa, yomwe imamveka pomwe wodwala akupumira.

Ngati tikulankhula za vuto la hypoglycemic, wodwalayo amakhala ndi nkhawa, amakhala wokutidwa thukuta kwambiri. Nthawi yomweyo, kugwa kwamwadzidzidzi m'magazi a glucose amalembedwa, zomwe zimachitika ndi Mlingo wolakwika wa insulin. Kuti muthane ndi zizindikirazi, ndikofunikira kuti mupeze wodwalayo tiyi wokoma. Kenako, dokotala yemwe amakupatsani mankhwala amatchedwa.

Kuphatikiza apo, edema yodziwika kapena yachilengedwe wamba imatha kukhala vuto la matenda osakhazikika a shuga. Kukula kwa zovuta zake kumadaliranso ndi kulephera kwamtima. Chizindikiro ichi chikuonetsa kukula kwa vuto laimpso.

Kutupa ndi asymmetrical. Ngati mayi wazaka zapakati kapena wakale ali ndi edema ya phazi limodzi kapena mwendo wotsika, monga chithunzi, titha kulankhula za diabetesic microangiopathy yamiyendo, yothandizidwa ndi neuropathy.

Musanachiritse matenda a shuga, ndikofunikira kukaonana ndi endocrinologist. Dokotala wokha ndi amene amatha kudziwa kuchuluka kwa insulin, komanso kupereka mankhwala okwanira, omwe angamuthandize kuti achire.

Komabe, ndizothandiza kwambiri ngati akazi ndi amuna anzeru. Ndikothekanso kuchiritsa mtundu wachiwiri wa matenda ashuga, komabe, ndibwino kugwiritsa ntchito njira zopewera kuti mupewe kukula, makamaka ngati munthuyo ali pachiwopsezo. Kanemayo munkhaniyi akupitiliza mutu wa matenda ashuga.

Sonyezani shuga yanu kapena sankhani jenda kuti mulimbikitsidwe

Ziwerengero zikuwonetsa kuti matendawa amatha kubadwa nthawi iliyonse, ndipo zomwe zimapangitsa kuti zimachitika sizimveka bwino. Kodi ndi chifukwa chani chomwe chitukuko cha matenda ashuga chikuyendera, komanso momwe mungazindikirire zoyamba za matendawa, makamaka mu theka la akazi pambuyo pa zaka 40, tiyesa kudziwa.

Ngati tilingalira za gulu la zaka atatha zaka 40, ndiye kuti anthu otere amadziwika ndi chitukuko cha matenda ashuga amtundu wa 2. Choyambitsa chachikulu cha matendawa ndicho kutayika kwa insulin chifukwa cha maselo. Kuchepa kwa matendawa kumawonjezera kunenepa kwambiri kapena kunenepa kwambiri.

Gawoli limadalira insulini, koma sikuti nthawi zonse amakhala ndi insulin. Chachikulu ndikuyankha kuunikidwe mu nthawi ndikupempha upangiri wa dokotala wokhazikika. Gawo loyamba la mankhwalawa limayamba ndi kuletsa zakudya. Zakudya zamafuta ochepa ndizofunikira kwambiri pa matenda a shuga.

Ndikulimbikitsidwanso kutaya mapaundi owonjezera, koma izi ziyenera kuchitika pang'onopang'ono ndikuyang'aniridwa ndi dokotala. Kuphatikiza apo, kulemera kwabwinobwino kuyenera kukhazikika moyo wonse. Ngati sizotheka kuchepetsa thupi, ndiye kuti kugwiritsa ntchito mankhwala ochepetsa shuga amadziwikanso. Insulin imangotchulidwa ngati njira yomaliza.

Mlingo wa shuga pambuyo pa 40

Kwa amayi pambuyo pa 40, mosakayikira muyenera kuwunika magazi osachepera kamodzi miyezi isanu ndi umodzi. Funsoli ndilovuta kwambiri kwa iwo omwe ali ndi achibale omwe adapezeka ndi matenda ashuga a 2.

Koma mukufunikirabe kuwunika shuga wamagazi chifukwa nthawi yakusiya, kusintha kumachitika mthupi la mkazi zomwe sizikhudza thanzi lake m'njira zabwino. Pankhaniyi, kupanga kwachilengedwe kwa mahomoni kumasokonezeka, ndipo izi zimakhudza mwachindunji kuchuluka kwa shuga - imayamba kukwera.

Chithokomiro cha chithokomiro chimatha kukhudzanso kusintha kwa kuchuluka kwa magazi azimayi atatha zaka 40. Ngati imagwira ntchito popanda kusokonezedwa ndikuchotsa cholesterol m'thupi, ndiye kuti shuga nthawi zonse imakhala yomweyo, apo ayi imayamba kuchuluka kwambiri.
Muyenera kupereka magazi pamimba yopanda kanthu, pomwe simungathe ngakhale kumwa madzi. Mkhalidwe wabwinobwino wamthupi umaganiziridwa ndi shuga wambiri 3.3-5,5 mmol / L. Matenda a shuga amapezeka pamlandu womwe magazi a mkazi atatha zaka 40 akapezeka kuti ali ndi shuga wa 5.6 mpaka 6.0 mmol / L.

Pomwe zikuwonetsa kupitilira 6.1 mmol / l - pankhaniyi ndikothekera kuyankhula za matenda ashuga, koma kwenikweni awa ndi boma lapakati. Koma atangolemba chizindikiro cha 7 mmol / l, titha kudziwa kuti matendawa ndi omwe ndipo iyenera kutengera chithandizo.

Malinga ndi Lamulo la Nambala 56742, aliyense wodwala matenda ashuga amatha kupeza njira yapadera pamtengo wapadera!

Doctor of Medical Science, Mutu wa Institute of Diabetesology Tatyana Yakovleva

Kwa zaka zambiri ndakhala ndikuphunzira za zovuta za DIABETES. Zimakhala zowopsa anthu ambiri akamwalira, ndipo makamaka amakhala olumala chifukwa cha matenda ashuga.

Ndithamangira kunena mbiri yabwino - Endocrinological Research Center ya Russian Academy of Medical Sayansi yakwanitsa kupanga mankhwala omwe amachiritsa odwala matenda ashuga mellitus. Pakadali pano, kugwiritsa ntchito bwino kwa mankhwalawa kuyandikira 100%.

Nkhani ina yabwino: Unduna wa Zaumoyo wateteza kukhazikitsidwa kwa pulogalamu yapadera yomwe imalipilira mtengo wonse wa mankhwalawo. Ku Russia ndi mayiko a CIS odwala matenda ashuga kale Julayi 6 alandire mankhwala - ZAULERE!

Ndi mtundu wanji wa matenda ashuga omwe afala kwambiri pakadali pano?

Koma atatha kufufuzidwa kwa mzimayiyo, ndikotheka kutsimikiza molondola mtundu wa matenda ashuga.

Koma nthawi zambiri, mitundu iwiri ya matenda imakhala ndi zotsatirazi:

kufooka thupi lonse, makamaka minofu.
kuwonongeka kwapafupa pang'onopang'ono - mafupa a mafupa,
mabala amachiritsa bwino
kuchuluka kwakukulu kumachitika.

Ndiwo mtundu wachiwiri wa matenda apamwamba a shuga omwe amatchedwa matenda achikulire, chifukwa chiopsezo chotukuka chimachuluka chaka chilichonse. Pambuyo pazaka 40, kapamba sangathe kulimbana ndi kuchuluka kwa ntchito, zomwe zikutanthauza kuti amayamba kupanga insulini yocheperako. Kupatula apo, ndiye amene amachititsa kuti shuga athe, pamenepa, munthu amamuwonjezera thupi.

Komanso, chiwopsezo chofananira ndendende chachiwiri chimachitika ngati pali chibadwa, makamaka ngati makolo onse anali kudwala.

Mutu: Matenda a shuga apambana

Kuchokera: Galina S. ([email protected])

Kupita ku: Administration Aboutdiabetes.ru

Ndili ndi zaka 47, ndinapezeka kuti ndili ndi matenda ashuga a 2. M'masabata angapo ndinapeza pafupifupi 15 kg. Kutopa nthawi zonse, kugona, kumva kufooka, kuwona kunayamba kukhala pansi.

Nayi nkhani yanga

Nditakwanitsa zaka 55, ndinali nditadzibaya kale ndi insulin, zonse zinali zoyipa kwambiri ... Matendawa anapitilirabe, kuukiridwa kwakanthawi kunayamba, ambulansi imandibwezera kudziko lina. Nthawi zonse ndimaganiza kuti nthawi ino ikhala yomaliza ...

Chilichonse chinasintha mwana wanga wamkazi atandilola kuti ndiwerenge nkhani imodzi pa intaneti. Simungayerekeze m'mene ndimamuyamikirira. Nkhaniyi inandithandiza kuthana ndi matenda ashuga, omwe amati ndi osachiritsika. Zaka 2 zapitazi ndidayamba kusuntha kwambiri, nthawi yamasika ndi chilimwe ndimapita kumayiko tsiku lililonse, ndikumalima tomato ndikugulitsa pamsika. Azakhali anga amadabwa ndimomwe ndimapangira chilichonse, komwe ndimapeza mphamvu zambiri, sakhulupirira kuti ndili ndi zaka 66.

Ndani akufuna kukhala ndi moyo wautali, wamphamvu komanso kuiwalako za matenda oyipawa kwamuyaya, tengani mphindi 5 ndikuwerenga nkhaniyi.

Ngati mwapeza cholakwika, chonde sankhani gawo ndikusindikiza Ctrl + Enter.

Matenda a shuga a m'mimba mwa azimayi atatha zaka 40 mpaka 48 ndi matenda ena amtundu wa endocrine omwe amakhudzana ndi kukonzanso kwa thupi komwe kumachitika pakapita nthawi. Panthawi ngati imeneyi, azimayi amakhala ndi kusintha kwakukuru mu mahormoni, kuphwanya njira yogwiritsira ntchito chakudya chamafuta komanso kukonza thupi kambiri.

Zomwe zimayambitsa matendawa

Chifukwa cha kuchepa kwa insulin m'magazi a wodwalayo, shuga imadziunjikira, yomwe imapukusidwa kudzera mu urethra ndi impso.

Izi zimawonongera kagayidwe kamadzi ndikuwonongeka kwa minofu. Zotsatira zake ndikuphwanya kukonzanso kwa impso kwa madzimadzi otsika.

Chifukwa cha kuchepa kwa insulin m'magazi a wodwala, shuga imadziunjikira, yomwe imakhudzidwa kudzera mu urethra ndi impso.

Kuchuluka kwa matenda ashuga mwa akazi opitilira 40 kumakhudzidwa ndi kusinthika kwokhudzana ndiusinkhu wa thupi m'thupi:

mu kusintha kwa msambo, maonekedwe ndi mahomoni m'thupi momwe amasinthira.
Matenda a chithokomiro amachitika, zomwe zimachitika chifukwa cha kuchepa kwa kupanga kwa mahomoni ndi kuchepa kwa thupi,
pali kuchepa kwa kayendedwe ka metabolic, kuphatikizapo shuga kaphatikizidwe.

Kukula kwa matenda ashuga kumatha kuchitika pazifukwa wamba:

chibadwa
moyo wongokhala, wosasunthika,
zinthu zopsinjika nthawi zonse
kuchuluka kwamanjenje, kusakwiya, kugona tulo,
kunenepa kwambiri komanso kunenepa kwambiri ngati simutsatira zakudya zoyenera,
matenda a kapamba, momwe mumakhala kugonjetsedwa kwa maselo a beta komanso kuchepa kwa kupanga kwa insulin (kapamba, zotupa),
matenda opatsirana omwe amakula mu ukalamba (rubella, chikuku, chimfine.

Mwa amayi, pakutenga pakati, matenda ashuga angamve, ngakhale atakhala zaka komanso kuchuluka kwa ana obadwa. Matendawa amadziwonetsera yekha mu nyengo yachiwiri ya kubereka chifukwa cha kusintha kwa mahomoni, chifukwa chomwe kuchuluka kwa shuga m'magazi kumachitika. Ngati vutoli linyalanyazidwa, mwana wosabadwayo amatha kusokonekera.

Nthawi zambiri mwana akangobadwa, shuga amabwerera mwakale.

Komabe, mtsogolo, atakwanitsa zaka 45, mkazi amalangizidwa kuti azisamala ndikuwunika momwe alili, monga chiopsezo chokhala ndi matenda a shuga a 2 chikuwonjezeka.

Kuletsa kuyambika kwa matendawa pambuyo pa zaka 40

Malinga ndi ziwerengero, matenda ashuga mu kuchuluka kwa azimayi opitirira 40 amatenga malo atatu. Pa gawo loyambirira, matenda a shuga samawonekera mwanjira iliyonse, chifukwa Zina mwazizindikiro zoyambirira za mkazi zimafotokozedwa ndi kutopa, kuwonongeka kwa thanzi chifukwa cha nyengo kapena kugwira ntchito kwambiri.

Komabe, pali ena a iwo omwe mungadziwe matendawa akadali achichepere. Kukula kwa zizindikiro za matenda ashuga kumangotengera kuchepa kwa mankhwala a insulini, komanso zimunthu za thupi la mkazi komanso kutalika kwa matendawa. Kuti muzindikire matendawa munthawi yake, ndikofunikira kuyang'anitsitsa kuchuluka kwa shuga m'magazi.

Zomwe zimachitika mukamanyalanyaza zizindikirazo

Zizindikiro zokhala ndi nkhawa zomwe zimapezeka mwa mayi wazaka 41-49, zimayambitsa kusayenda bwino kwa thupi ndipo ziyenera kukhala nthawi yolumikizana ndi endocrinologist ndikuwunika.

Kuzindikira panthawi yake, ntchito ndi upangiri waukadaulo zithandiza kuyamba kulandira chithandizo ndikukhazikitsa mkhalidwewo.

Matenda a shuga si matenda oopsa omwe amaopseza moyo wa mayi. Komabe, m'malo osiyidwa, pakalibe chithandizo, kukulitsa zovuta zovuta ndi chiopsezo chachikulu cha kufa ndikotheka.

Izi zikuphatikiza:

kuwoneka kwa edymmetric edema ndipo, chifukwa, kukula kwa mtima kulephera ndi matenda aimpso.
Matenda a matenda ashuga - kuiwalako zam'mbuyo posintha kwambiri shuga.
ketoacidotic chikomokere - chimachitika ndi kuchuluka kwa poizoni chifukwa cha kusokonekera kwa metabolic, chizindikiro chake chachikulu ndikuwoneka kwa fungo la acetone kuchokera mkamwa,
hypoglycemic chikomokere - wodwalayo amakhala ndi chikumbumtima chosaneneka, amapanga thukuta lotentha kwambiri, lomwe limalumikizidwa ndi kuchepa kwakukulu kwa kuchuluka kwa shuga m'magazi (amapezeka ndi vuto la insulin).

Kufufuza kwamomwe am'magazi a venous kapena capillary kuyenera kuchitidwa pafupipafupi (pafupifupi miyezi isanu ndi umodzi).

Zoyenera kuchita ngati zizindikiro za matenda ashuga zikuwoneka

Zizindikiro zomwe zili pamwambazi zizayamba kuoneka, zomwe zikuwonetsa kuti pali mtundu wa matenda a shuga wachiwiri, azimayi amafunika kufunsidwa mwachangu ndi endocrinologist komanso kuyezetsa magazi ndi mkodzo.

Kufufuza kwamtundu wamwazi wa venous kapena capillary kuyenera kuchitidwa pafupipafupi (pafupifupi miyezi isanu ndi umodzi), kutsatira malamulo oyambira:

sinthani pamimba yopanda kanthu, musadye kaye osamwa kalikonse kwa maola 8 mpaka 12,
tsiku lisanafike mayeso saloledwa kudya zakudya zomwe zimakhudza kuchepetsa shuga (magazi, ma apricots, ndi zina), komanso zakumwa zoledzeretsa, zakudya zonunkhira komanso zokazinga.
osagwiritsa ntchito mankhwala opangira mano kutsukira mano anu ndipo musagwiritse ntchito chingamu,
Osasuta, kumwa mavitamini kapena zowonjezera zakudya.

Pambuyo povomereza matendawa, adotolo amafufuza chithandizo chamankhwala chokwanira chofuna kuchepetsa shuga. Ngati matenda a shuga adapezeka kumayambiriro kwa matendawa, ndiye kuti vutoli limatha kuthana ndikusinthira kuzakudya zopatsa thanzi, kutsatira zakudya, kumwa mavitamini ndi mankhwala. Ndikulimbikitsidwa kuti musunthire kwambiri ndikukhala ndi moyo wakhama.

Kuti muchepetse kuyabwa kosasangalatsa pakhungu, tikulimbikitsidwa kusankha zinthu zaukhondo (sopo, shampoos, ndi zina) zomwe zimakhala ndi alkali ochepera ndipo zimapangidwira khungu lopepuka.

Kodi matenda a shuga amawoneka bwanji? Mawonetsero akulu a shuga

Zizindikiro za matenda ashuga mwa akazi. Matenda a shuga mwa akazi ndi chizindikiro cha matenda.

Kutsatira malangizo onse komanso kumwa mankhwala kungakuthandizeni kupewa zovuta komanso kusintha moyo wabwino.